个性化健康管理自动化系统(ASHM)的专利态势:特征、不足及对开发最优ASHM的启示

Patent Landscape of Automated Systems for Personalized Health Management (ASHM): Features, Shortcomings, and Implications for Developing an Optimal ASHM.

作者信息

Martyushev-Poklad Andrey, Yankevich Dmitry

机构信息

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia.

出版信息

Front Digit Health. 2021 Feb 11;3:579936. doi: 10.3389/fdgth.2021.579936. eCollection 2021.

Abstract

The current struggle of national health care systems against global epidemic of non-communicable diseases (NCD) is both clinically ineffective and cost ineffective. On the other hand, rapid development of systems biology, P4 medicine and new digital and communication technologies are good prerequisites for creating an affordable and scalable automated system for personalized health management (ASHM). The current practice of ASHM is better represented in patent literature (36 relevant documents found in Google Patents and USPTO) than in scientific papers (17 documents found in PubMed and Google Scholar). However, only a small fraction of publications disclose a complete self-sufficient system. Problems that authors of ASHM aim to address, methodological approaches, and the most important technical solutions are reviewed and discussed along with shortcomings and limitations. Technical solutions for ASHM currently commercialized or described in literature generally fail to enable practicable, scalable and affordable automated and individualized screening, monitoring, prevention and correction of human health conditions. They also fail to provide a decision support system to patients that would help effectively prevent major NCD and their complications, be accessible and cost effective, consider individual lifestyle factors and involve patients in management of their individual health. Based on analysis of the literature, models of health and care, we propose conceptual framework for developing an ASHM that would be free from the mentioned problems.

摘要

当前各国医疗保健系统应对全球非传染性疾病(NCD)流行的努力在临床效果和成本效益方面均不尽人意。另一方面,系统生物学、精准医学以及新的数字与通信技术的快速发展,为创建一个经济实惠且可扩展的个性化健康管理自动化系统(ASHM)提供了良好的前提条件。ASHM的当前实践在专利文献(在谷歌专利和美国专利商标局中找到36份相关文件)中的体现比在科学论文(在PubMed和谷歌学术搜索中找到17份文件)中更好。然而,只有一小部分出版物披露了完整的自给自足系统。本文回顾并讨论了ASHM的作者旨在解决的问题、方法学途径以及最重要的技术解决方案,同时也探讨了其缺点和局限性。目前已商业化或在文献中描述的ASHM技术解决方案通常无法实现可行、可扩展且经济实惠的自动化和个性化的人类健康状况筛查、监测、预防及矫正。它们也未能为患者提供一个决策支持系统,该系统有助于有效预防主要的非传染性疾病及其并发症,具备可及性和成本效益,考虑个体生活方式因素,并让患者参与自身健康管理。基于对文献、健康与护理模式的分析,我们提出了一个用于开发ASHM的概念框架,该框架将避免上述问题。

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